do i need finasteride if im already taking oral spironolactone? (hrt)
    Transgender 6/10/2025

    New to Spironolactone? There is a guide in the encyclopedia. Read the guide β†’
    At a glance
    In this question or advice post, the primary subjects mentioned are
    πŸ’Š spironolactone (oral) 3 weeks
    πŸ’Š estrogen (oral) 3 weeks
    the tone is 😐 neutral.

    Other terms

    The conversation is about managing hair loss while on hormone replacement therapy (HRT) with estrogen and spironolactone. The user considers adding finasteride but decides to wait and see the effects of the current treatment.
    View this post in the Community β†’

    Similar Community Posts Join

    5 / 5 results

      community Request for advice, feedback...

      in Chat  2 upvotes 1 year ago
      The conversation discusses hair loss treatments for a woman experiencing androgenetic alopecia and seborrheic dermatitis, with suggestions including low-dose oral minoxidil, dutasteride, and hormone replacement therapy. The user is seeking advice due to intolerance to spironolactone and topical minoxidil, and concerns about low testosterone and DHT levels.

      community I don’t understand this, is he equating taking Fin with being on HRT?

       303 upvotes 1 year ago
      The conversation is about using finasteride and testosterone replacement therapy (TRT) for hair loss and their role in gender-affirming care. It debates whether these treatments are considered hormone replacement therapy (HRT) and their implications for both cisgender and transgender individuals.

      community (MTF 35) Results of 18 Months of HRT

       775 upvotes 8 months ago
      A transgender woman experienced significant hair regrowth after 18 months of hormone replacement therapy (HRT) with estrogen and bicalutamide. The discussion notes HRT's effectiveness for hair regrowth but warns against its use for cisgender men due to feminizing effects.

    Related Research

    6 / 6 results
      Hair Biology

      research Hair Biology

      33 citations , August 2018 in “Facial Plastic Surgery Clinics of North America”
      This review discusses various biologics for hair aging but reports no agent capable of reversing the natural aging process of hair.
      Sexual Hormones in Human Skin

      research Sexual Hormones in Human Skin

      305 citations , February 2007 in “Hormone and metabolic research”
      This review discusses the roles of androgens and estrogens in skin functions and disorders, and highlights the use of estrogen-progestin treatments and anti-androgens in managing hirsutism and acne, without reporting new results.
      The Hormonal Background of Hair Loss in Non-Scarring Alopecias

      research The Hormonal Background of Hair Loss in Non-Scarring Alopecias

      February 2024 in “Biomedicines”
      This review examines the hormonal causes of hair loss, noting how androgen excess can lead to follicle miniaturization and linking estrogen deficiency and thyroid dysfunction to common alopecia types. It further discusses hormonal treatments such as finasteride, dutasteride, and spironolactone.
      Medical Treatment of Hirsutism in Women

      research Medical Treatment of Hirsutism in Women

      18 citations , June 2010 in “Current medicinal chemistry”
      This review discusses current treatment options for hirsutism, emphasizing the importance of combining therapies for better outcomes, but reports no new clinical findings.